{
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"OrgName": "GROUNDWORKS NUTRITION",
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"FirstLineMailingAddress": "105 NE 56TH ST",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "SEATTLE",
"MailingAddressStateName": "WA",
"MailingAddressPostalCode": "98105-3737",
"MailingAddressCountryCode": "US",
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"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "2111 N NORTHGATE WAY STE 201",
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"PracticeLocationAddressCityName": "SEATTLE",
"PracticeLocationAddressStateName": "WA",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "206-525-8015",
"PracticeLocationAddressFaxNumber": "206-525-8014",
"EnumerationDate": "10/30/2017",
"LastUpdateDate": "07/17/2018",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "SEKULICH",
"AuthorizedOfficialFirstName": "ERIN",
"AuthorizedOfficialMiddleName": "ELIZABETH",
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"AuthorizedOfficialCredential": "MS, CN",
"AuthorizedOfficialTelephoneNumber": "206-632-5662",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Nutritionist",
"LicenseNumber": "NU00001465",
"LicenseNumberStateCode": "WA",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}